EFTA00305915.pdf
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SRPO-4 Rev. 5/09
2306 Florida
Form gentiread by. True rpm('
Seller's Real Property Disclosure Statement
FLORIDA ASSOCIATION OF REALTORSO
NAME
LIA
SELLER HAS
HAS NOT
CCUPIED THE 7OPERLY.
DATE SELLER URCHASE
ROPERTY?
,2060
IS THE PROPERTY CURRENTLY LEASED? NO .2 -YES O TERMINATION DATE OF LEASE:
DOES THE PROPERTY CURRENTLY HAVE HOMESTEAD EXEMPTION? NO0 YES O; YEAR
GENERAL INFORMATION ABOUT PROPERTY:
PROPERTY ADDRESS:
LEGAL DESCRIPTION:
NOTICE TO BUYER AND SELLER:
In Florida, a Seller is obligated to disclose to a Buyer all known facts that materially affect the value of the
property being sold and that are not readily observable. This disclosure statement Is designed to assist
Seller in complying with the disclosure requirements under Florida law and to assist the Buyer in
evaluating the property being considered. This disclosure statement concerns the condition of the real
property located at above address. It is not a warranty of any kind by the Seller or any Licensee in this
transaction. It is not a substitute for any inspections or warranties the parties may wish to obtain. It is
based only upon Seller's knowledge of the property condition. This disclosure is not intended to be a part
of any contract for sale and purchase. All parties may refer to this information when they evaluate, market,
or present Seller's property to prospective Buyers.
The following representations are made by the Seller(s) and are not the
representations of any real estate licensees,
1. CLAIMS & ASSESSMENTS
a. Arc you aware of existing, pending, or proposed legal actions, claims, special assessments, municipal service
taxing or benefit unit charges or unpaid assessments (including homeowners' association maintenance fees or
proposed increases in assessments and/or maintenance fees) affecting the property? NOAVYES 0 If yes,
explain:
b. Have any local, state, or federal authorities notified you that repairs, alterations or corrections of the property
are required? NORVYES 0 If yes, explain:
2. DEED/HOMEOWNERS' ASSOCIATION RESTRICTIONS
Are You Aware:
a. of any deed or homeowner restrictions? NO O YES ri
b. of any proposed changes to any of the restrictions? NO q. YES O
c. of any resale restrictions? NO O YES,
d. of any restrictions on leasing the property? NO O YES
e. If any answer to questions 2a-2e is yes, please explain:
f. Are access roads privet
public 0 ? If private, describe the terms and conditions of the maintenance
agreement:
g. If there is a homeowner association, is embership mandatory? NO 0 YESS; and are fees charged by the
homeowner association? NO O YES 1t yes, explan:
3. PROPERTY-RELATED ITEMS
Are You Aware:
a. if you have ever had the property surveyed? NO St 'YES 0 Date:
b. if the property was surveyed, did you receive an elevation certificate? NO O YES O Date:
c. Of any walls, driveways, fences or other features shared in commcn with adjoinng landowners or any
encroachments, boundary line disputes, setback violations, or easements affecting the property? NOitif YES 0
d. of any portion of the property that is fenced? NO 0 YES
If any answer to questions 3a-3d is yes. please explain:
Buyer (
) (
) and Seller*_)
acknowledge receipt of a copy of inis page. ,Mlich is Page 1 of 5 Pages.
A egi ion of REALTORS® Al Rights Reserved
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EFTA00305915
4. THE LAND:
Are You Aware:
a. of any past or resent settling, soil movement, or sinkhole problems on the property or on adjacent
properties? N(
YES O
i. of any sinkhole insurance claim that has been made on subject property? NO O YES O
ii. if claim made, was claim paid? NO O YES O
iii. was the full amount of the insurance proceeds used to repair the sinkhole damage? NO O YES O
b. of any past or present drainage or flood problems affecting the property or adjacent properties? NO W YES O
c. of any past or present problems with driveways, walkways, patios. seawalls, or retaining walls on the property
or adjacent properties due to drainage, flooding, or soil movements? NO
YES O
If any answer to questions 4a-4c is yes, please explain:
5. ENVIRONMENT:
Was the property built before 1978? NO O YES re
Are You Aware:
a. of any substances, materials, or products which may be an environmental hazard, such as, but not limited to,
asbestos, urea formaldehyde, radon gas, mold, lead-based paint, Chinese/defective drywall, fuel, propane or
chemical storage tanks (active or abandoned), or contaminated soil or water on the property? NO KYES O
If yes, explain:
i. of any damage to the structunts4selizated on the property due to any of the substances, materials or products
listed in subsection (a) above?
YES O If yes. explain:
ii. of any corrosion to air conditioner or refrigerator colts, copper tubing, electrical wiring, computer wiring or other
househ_pid items that have been damaged by sulfur or methane gas emitted from Chinese/defective drywall?
NO ;
S O If yes, explain:
ii. of any dean up. repairs, or remediatlon of the property due to any of the substances, materials or products
listed in subsection (a) above? NO 2' YES O If yes, explain:
b. of any condition or proposed change in the vicinity of the property that does or will materially affect the value
of the property, such as, but not limited to. proposed development or proposed roadways? NO g YES
c. Owetlands, mangroves, archeological sites, or other environmentally sensitive areas locatecfbn the property?
ti* O YES O
If any answer to questions 58-5c is yes. please explain.
6. ZONING:
Are You Aware:
a. of the zoning classification of the property? NO O YES
TIf yes. Identify the zoning classification gpc 01144‘
b. of any zoning violations or nonconforming uses? NO
c. if the property is zoned for its current use? NO O YES
ai,
d. of any zoning restrictions affecting additions, improvements or replacement of the property? NO e'ES
a. if there are any zoning, I ndu
or administrative regulations which are in conflict with the existing or intended
use of the property? NO
Buyer (
) (
) and Seller (
) (
) acknowledge receipt of a copy of this page. which is Pace 2 of 5 Pays.
SRPO.4 Rev. SIN C 2006 Flor
s
don of REALTORS®
All R.glis Reserved
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V. Of any restrictio
other than association and flood area requirements affecting improvements or replacement of
the property? N
YES O
If any answer to questions 6a-6f is yes, please explain:
7. FLOOD:
Are You Aware:
a. if any portion of the property is in a special flood hazard area? NORj YES O
b. does the property require flood insurance? NOS(YES O
c. whether any improvements including additions, are located below the base flood elevation? NO (9-1YES
d. whether such improvements have been constructed in violation of applicable local flood guidelines? NO ;VIES O
e. if any portion of the property is seaward of the coastal construction control line? NQjitYES O
If any answer to questions 7a-7e Is yes. please explain:
8. TERMITES, DRY ROT, PESTS, WOOD DESTROYING ORGANISMS:
a. Do you have any knowledge of termites, dry rot, pests or wow destroying organisms on or affecting any
improvements located on the property or any structural damage to the property by them? NOR YES 0 If yes.
explain:
b. Have you ever had the property inspected for termites. dry rot, pest or wood destroying organism?
NO
YES crDate
•
of inspection 2.0Oq so, what was the outcome of the inspection?
c. Has the property been treated for termites, dry rot. pest or wood destroying organisms? qo O YES O Date
and type of treatment
Company name:
frqa
9. STRUCTURE-RELATED ITEMS:
Are You Aware:
a. of any structural damage which may have resulted from events including, but not limited to, fire, wind, flood, hail,
landslide, or blasting, and which materially affect the value of the property? witti YES O
b. of any structural condition or, in the case of a homeowner association, any condition in the common elements
that materially affects the value of the property? NO (Wits O
c. of any improvements or additions to the property, whether by you or by others, that have been constructed in
violation of building codes or without necessary permits? NO 0 YES 0
d. of any active permits on the property which have not been closed by a final Inspection? NC4..tj YES O
If any answer to questions 9a-9d is yes, please explain:
10. ROOF-RELATED ITEMS:
Are You Aware:
a. of any roof or overhang defects? NO(O YES O
b. if the roof has leaked since you owned the property? Ned YES 101
c. If anything was done to correct the lefrks? NO 0 YES a+
d. if the roof has been replaced? NO AYES O If yes, *fan:
e. if there is a warranty on the roof? NO
YES 0 If yes, is it transferable? NO 0 YES 0
f. If the roof has been Inspected within the last twelve months? NO 0 YES 0
If any answer to questions 10a-10f is yes„please explai :
Buyer (
) (
) and Seiler
)(
) acknowledge receipt of a copy of this page, which is Page 3 of 5 Pages.
S RP 0-4 Rev. 6/09 C 2006 F
Lion of REALT0RS€
Ail Rights Reserved
fern pnersied by TrueForms'
www.TrueFormsca m
800-499-96!2
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EFTA00305917
11. PLUMBING-RELATED ITEMS:
a. What is your drinking water source? Public itf 'Private Well O Other Source. If your drinking water is from a well
or other source, when was your water last chec ed for safety and what was the result of the test?
b. Do you have a water conditioning system? NOArYES Cl If yes, type:
Owned a Leased O
What is the balance owed
the system?
c. Do you have a sewer
or septic system 0? If septic system describe the location of each system:
d. Are you aware of any septic tanks or wells on the property which are not currently being used?
NO
ES a If yes, explain:
e. Are you aware of any plumbing leaks since you have owned the property? NgO YES O If yes, explain:
f. Are you aware of any conditions that materially affect the value of the property relating to the septic tankidraln
field, sewer lines, or any other plumbing related items? NO.firYES 0 If yes, explain:
12. POOLS/HOT TUBS/SPAS:
a. Does the property have a swimming pool? NO O YES ali Hot tub? Nag/YES O Spa? NO O YES
b. If you answered yes to any part of 12a, was the certificate of completion received after Oct. 1. 2000 for the
pool? NO tYES 0 For the spa? NO &YES O For the hot tub? NO O YES O
c. Check the pool safety features (as defined by Section 515.27, Florida Statutes) your swimming pool, hot tub or
spa has: Enclosure that meets the pool barrier requirements
Approved safety pool cover O
Required door and window exit alarms 0 Required door locks 0 none O
d. Are,,,you aware of any conditions regarding these items that materially affect the value of the property?
Nag YES O If yes, explain:
13. MAJOR APPLIANCES:
Indicate existing equipgient
Range0 Oven ri.K Microwa
DishwasherIZYGarbage Disposal grTrash Compactor O RefrigeratorQ'
Freezer O Washer
r Cl
Are any of these appliances 19ased? isiC)trYES O Are any of these gas appliances? NO O YES fir
Is the water heater: owned gleased O; Is the water heater: electric 0 gas O
Are you aware of any problems with these appliances, including whether any of the appliances have leaked or
overflowed, since you have owned the property? Nei YES O if yes, explain:
14. ELECTRICAL SYSTEM:
Are You Aware:
a. of any damaged or malfunctioning swIlcies, receptacles, or wiring? NOZ'YES
b. of any conditions that materially affect the value or operating capacity of the electrical system? NO
YES
If answers to questions 14a or 14b is yes, please explain:
15. HEATING AND AIR CONDITIONING:
Indicate existing equipment:
;,zysia. Air conditioning:
Heating:
Central
WindowlWall 0 Number of units
Electricia Fuel Oil O Gas
O
Other O
Solar Heating:
Owned O Lez
d Cl
Wood-burning s ve: NO
YES 3
Fireplace: NO
YES O Describe fireplace equipment:
Are you aware of any defects, malfunctioning or condensation problems regarding these items, since you have
owned the property? NO O YES
0
If yes, explain:
Buyer (
3 (
) and Seller (
SRP:,•4 Rev. 5C9 ® 200E Porta
son of REALTORS® Al Rights Reserved
Form oeneraled by TrueForms'
800499-9612
) (
) ackhowledge receipt of a copy of this page. which is Page 4 of 5 Pages.
0 ti
L909LL01.99
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EFTA00305918
16. OTHER EQUIPMENT:
Indicate existing equipment:
Security System: NO O YES O Leased Cl Owned O Connected to Central Monitor O Monthly Fee $
Smoke Detectors: NO O YES a Number of smoke detectors?
Lawn Sprinkler System: NO O YES O Sprinkler water source:
If well is source. is
there an iron filter? NO O YES O Is there a timer? NO Cl YES Cl Is the timer automatic? NO Cl YES O
Garage door openers? NO O YES O, Number of transmitters?
Humidistat? NO O YES Cl
Humidifier? NO O YES Cl Electric air fitters? NO O YES O Vent fans? NO O YES O
Paddle fans? NO O YES O, Number of paddle fans?
17. OTHER MATTERS:
Is there anything else that materially affects the value of the property? NO Cl YES 0
If yes, explain:
ACKNOWLEDGEMENT OF SELLER
The undersigned Seller represents that the information set forth in the above disclosure statement is accurate and
complete to the best of the Seller's knowledge on the date signed below. Seller does not intend for this disclosure
statement to be a warranty or guaranty of any kind Seller hereby authorizes disclosure of the information contained in this
disclosure state
in writing wi
NS bac* e ina
pective Buyers of the property. Seller understands and agrees that Seller will notify the Buyer
ess days after Seller becomes aware that any Information set forth in this disclosure statement
r incorrect in any way during the term of tne pending purchase by the Buyer.
Seller:
442 /4444
Date:
/ 0A0d
Seller:
Date:
!ono
(ionseae)
RECEIPT AND ACKNOWLEDGMENT OF BUYER
Seller is using this form to disclose Seller's knowledge of the condition of the real property and Improvements located on
the property as of the dale signed by Seller. This disclosure form is not a warranty of any kind. The information contained
in the disclosure 3 limited to information to which the seller has knowledge. It is not intended to be a substitute for ary
inspections or professional advice the Buyer may wish to obtain. An independent professional inspection is encouraged
and may be helpful to verify the condition of the property and to determine the cost of repairs, if any. Buyer understands
these representations are not made by any real estate licensee.
Buyer hereby acknowledges having received a copy of this disclosure statement.
Buyer:
Date:
(sigtalUT)
(pant)
Buyer.
Date:
(statute)
(print)
Buyer f
)(
)and Seller (
)(
) acknowledge receipt of a copy of this page, wnicri is Page 5 of 5 Pages.
SRPD•4 Rev. 909 0 2006 Florida Association of REALTORSS
All Rights Reserved
Fan orwisess by. TrueForms"
swea.Truefornts.com
80C-4994612
L909La L95
u!enspoo
eLZ
OL 9Z100
EFTA00305919
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| Filename | EFTA00305915.pdf |
| File Size | 1181.0 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 15,197 characters |
| Indexed | 2026-02-11T13:25:12.163367 |